Housing Instability, Structural Vulnerability, and Non-Fatal Opioid Overdoses Among People Who Use Heroin in Washington Heights, New York City
| Autor: | D. J. Obonyo, J. S. Lyons, Silvia Amesty, Helen-Maria Lekas, Rafael E Pérez-Figueroa, Crystal Fuller Lewis, H. Surratt, S. Santoscoy |
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| Rok vydání: | 2021 |
| Předmět: |
Washington
medicine.medical_specialty Context (language use) Social Welfare Heroin 03 medical and health sciences Housing Instability 0302 clinical medicine Humans Medicine 030212 general & internal medicine Use Heroin Psychiatry Applied Psychology Harm reduction 030505 public health Poverty business.industry Opioid overdose medicine.disease Disadvantaged Opiate Overdose Psychiatry and Mental health Cross-Sectional Studies New York City Drug Overdose 0305 other medical science business medicine.drug |
| Zdroj: | Behavioral Medicine. 48:320-330 |
| ISSN: | 1940-4026 0896-4289 |
| DOI: | 10.1080/08964289.2021.1922347 |
| Popis: | Nationally, opioid overdose remains strikingly persistent among people experiencing homelessness and housing instability. Limited information is available about the characteristics of this phenomenon in economically disadvantaged communities of color. This study sought to evaluate the association between key contextual factors and experiencing a non-fatal opioid overdose among people who use heroin in Washington Heights, New York City. We conducted a cross-sectional survey (N = 101) among participants seeking harm reduction services who reported heroin use in the last three months. Binary logistic regression models examined the association between key social and structural factors and the likelihood of ever experiencing a non-fatal opioid overdose and recently experiencing a non-fatal opioid overdose. The majority of the sample reported housing instability and lived in poverty; almost 42% were homeless. After adjustment, participants who injected heroin were more likely to have ever experienced a non-fatal opioid overdose. Also, younger participants who reported hunger in the last six months were more likely to have experienced a non-fatal opioid overdose in the last three months. Findings suggest the role of structural vulnerability in shaping overdose risk among the participants. Overdose prevention strategies should consider factors of the social and economic environment to mitigate barriers to accessing health and social services within the context of the current opioid crisis. |
| Databáze: | OpenAIRE |
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